MEDICARE: DR. MELANIE MOSELEY PHD, NCC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	83822	TX

General Provider Information

NPI Number	:	1023735214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE MOSELEY PHD, NCC, LPC

Provider Business Mailing Address
First Line	:	3422 CHARLOTTE DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78418-3929
Country	:	US
Telephone Number	:	830-391-0378
Fax Number	:

Provider Business Practice Location Address
First Line	:	5337 YORKTOWN BLVD STE 4A2
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78413-5361
Country	:	US
Telephone Number	:	361-257-1845
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2022
Last Update Date	:	03/07/2023

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